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HomeMy WebLinkAboutBuilding Permit #107-14 - 10 WOODRIDGE DRIVE 7/31/2013 CONT BUILDING PERMIT P TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATI Permit NO: Date Received Too Date lssued,- � 1—TANT:Applicant must complete all items on this page w7m­" psi G711' "M AM' ........ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building P—ne f6iAl—y) Addition Two—Dr-06-re family Industrial Alteration No.of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Identification Please Type or Print Clearly) OWNER: Name- f7ov-O-V\- LDOIL)e t)"'re��hone: TT9 Address: Ali "aw J "�'4' iff 0 M, amv 0110 i I VOWIM MUM ARCH ITECT/ENGI NEER Phone: Address: Reg. No. FEE SCHEDULE.,BULDING PERMIT.$12.00 PER($1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. 1 5 --M Total Project Cost: $ 6 FEE: Check No.: Receipt No.: NOTE: Persons contracting with unregistered Contra r 0 r h a ess to the guaranty fund Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF`.SEWERAGE.DISPOSAL Public Sewer ❑ Swimming Pools 11 well ❑ g Well Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ F1 COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature i COMMENTS I r ,,Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes . Planning Board Decision: Comments Conservation Decision: Comments .Water& Sewer Y Permit Connectionisi nature& Date Driveway } DPW fowls ]Engineer: Signature: 1 Located 384 Osgood Street F�IREEPARTIIMENT -Temp Dumpster on site yes no t 124 Mair,Street partiner t-signature/date`°`NTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A-F and G min.$100-$1000 fine NOTES and DATA— For department use I i I ® Notified for pickup - Date I t Doc.Building Permit Revised 2010 I i Building Department The fol riwing is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofivg, Siding, Interior Rehabilitation Permits Li Building Permit Application u Workers Comp Affidavit u Photo Copy Of H.I.C. And/Or C.S.L. Licenses u Copy of Contract a Floor Plan Or Proposed Interior Work u Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks u Building Permit Application u Certified Surveyed Plot Plan u Workers Comp Affidavit u Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract u Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) o Building Permit Application o Certified Proposed Plot Plan Li Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Li Copy of Contract Li Mass check Energy Compliance Report o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases.if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apo•,al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm.+ted with the building application Doc: Doe.Buil,ding permit Revised 2012 Location '/iJ No. I 7— Cate %Q:4, • - TOWN OF NORTH ANDOVER- n .o ® Certificate-of Occupancy $ Building/Frame Permit Fee $ Foubdation Permit Fee $�� Other Permit Fee $ TOTAL $ 3 Check# G 55 J 6 7 Building Inspector Enter construction cost for fee cal- North Andover Fee Calculation Construction Cost $ 32,566.00 m $ - $ 390.79 Plumbing Fee $ 48.85 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 48.85 Total fees collected $ 588.49 10 Woodbridge Road 107-14 on 8/1/2013 Kitchen Remodel � NORTt-/ Town of 2 E , Andover 0 I � No. io - , jq - oh 1 ver, Mass, ad/3 AA4, COC NIC Nl-IC. V 7,QS ^reo 11 BOARD OF HEALTH Food/Kitchen PERM11T L D Septic System THIS CERTIFIES THAT si �� BUILDING INSPECTOR............. .... ............ �......... ........................................ rf•O w��l ..! . .0. �»...... Foundation has permission to erect .......................... buildings on .. .......... (/,(( � ..... VV Rough to be occupied as ................ A.A.& ...........Re .�i�. .............................................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final . PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough � Service �..... ........... . ............................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE ff H wwEN A L TH Ai w Ail, How PWzX ) 39 Rockingham Road, Windham,NH 03087-Phone:(603)898-5000--Office Fax: (603)898-41.54 Joanne and Dave Diresta 10 Woodbridge Rd North Andover, MA 978681-1266 Kitchen Installation: Demo cabinets and takV down to studs. Insulate, sheetrock and plaster. Sheetrock hallway ceiling. Rip up floor and.install customer supplied floor tile and cabinets. Unhook and reset plumbing, add exhaust'venting, sink drain vents for kitchen and bath, bring waste and traps up to code, install ice maker supply. Remove radiator and install 1 electric toekick heater. Install 6 cans, pendant end under cabinet lighting, add switch in mudroom. Replace electric service panel. Install beadboard wainscoting and trim. Install new window and entry door. Paint kitchen only. Dumpster. Does not include permit fees. $18,100.00 Cabinetry: Details "Shaker"DAIY206B in Alder with Harvest Gold 119 $11,213.1.2 Counters: Uba Tuba Granite, Std Edge, D-Bowl Sink $2100.00 Hardware: Amerock 1387-ART 32 a 4.27ea $136.64 Faucet: TBD $TBD Window: Andersen New Construction window $640.03 Door: Thermatru steel 9-lite j2x80, double bore $261.25 Handle Sets: TBD deadbolt keyed bpth sides $TBD Beadboard: Nantucket 12NBB $115.30 Total $32.566.34 6/25/2013 f x 4 Iry EN .I. m mme cexw . 39 Rockingham Road,Windham,NH 03087--Phone:(603)898-5000--Office Fax:(603)898-4154 * If any amount that you owe becomes overdue,interest will be added to the balance due at the rate of two percent (2%) per month (twenty-four percent per annum) or the maximum rate allowed by the law, whichever is less, of the outstanding balance. In the event that it becomes necessary for Cyr Lumber to engage a professional, such as an attorney, to collect an overdue balance from you, you shall be responsible for the payment of all expenses incurred by Cyr Lumber in connection with said collection, including but not limited to cost and actual attorney's fees. I * Once you place your order and Cyr Lumber accepts your deposit, you cannot make any changes to your. order. THERE ARE NO RETURNS ON SPECIAL ORDER ITEMS. * Cyr Lumber has made no express warranties with regard to the ordered goods other than as set forth in this agreement. * If the above prices, specifications and conditions are satisfactory to you, by signing below you are authorizing Cyr Lumber to order all of the above .items immediately and to complete all work specified. * Goal Start Date for Demo/Install set for the Week,in Please note: Cyr Lumber reserves the right to adjust scheduled date for install due to unforeseen scheduling conflicts. This Quote was provided by Jeff Zduniak, Cyr Lumber Company, and is valid for 30 days. PLEASE SIGN CONTRACT BELOW AND INITIAL ANY/ALL 3-D PICTURES TO VERIFY THAT THE ITEMS BEING ORDERED ARE BASED UPON YOUR APPROVAL OF THE DESIGN. Cus 1mer/Ow er Signature Kitchen & Bath Designer, Cyr Lumber Dated: 8 Dated: 6/3/2013 --— -- — 1561 ; —24"-- 212"— --4:I, —502 —57 7,, 45"' 288„- 252„ 2 541: 2 i! — W-213 ' L W-3033 1 IcC 2433,8 Tr� N N UFSB W _ ce) U BD:18 4BGCD 1 2 t l-11N'BT 9Ft�.FSB - Cl) I _ ml� µ M LL I _..... N IN - _. 00 x � ' Q�aD. cn I M �IQ ,r W M r � i 0 N i N N CO �— (r CSi NI_ Vt V c _ T _ r '----36 s"-- — -- -123-L" 3:8" j --16341" --� — — � Designed-. !:/26/�O12 All d�menslons size designations20 20 l his is an original design and must gnot bereleased or copied unlessPrinted: 6/2 /2013 given are subject to verification on TECHNOLOGIES applicable fee has been paid or job job site and adjustment to fit job pp conditions. order placed- � All Drawing #: 1 No Scale.I I j jrz-diresta Joanne and dave ��� sur cv is I 1 , Lo rMA 3Uas boo bub i EASTERN INS COMML 009/022 '4 CERTIFICATE OF LIABILITYDATE(MMMOIVYVV) INSURANCE 9/28/2012 THIS CERTIFICATE IS ISSUED AS A. MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the paBcy(las)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain Policies may require an endorsement. A statement on this cenlflcate does not confer rights to the certificate holder in lieu of such andorsemen s. PRODUCER CONTACT Lt1rn88r _NAME: _ Eaatern Insurance Group LLC (aION Eap. (109)631-7700 I(A/C,No)I 233 West Central Street E-MAIL "'- ADDRESS: PRODUCER P0042136 Natick Q1760 INSURED INSURER(S AFFORDING COVERAGE NAIC0 "' -^--- �. __ INSk9gL _PennsylVania Lumberman Cyr Lumber CO Ino P 0 Box 837 INSURER C: INSURER 9; Windham ISM E: NH 03087-0837 IN$URERF; COVERAGES CERTIFICATE NUMBER.-11/13 GL/auto & 12/13 UMS REVISION NUMBER: THIS IS TO CERTIrY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE UEEN ISSUED TO THE INSURED NAMED ABOVE FOR 11 IC POLICY PERIOD INDICATED. NOTWITHSTANDING ANY IIEQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TI•IE TERMS, EXCLUSIONS AND CONDITIONS OF SUC i POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INAM TYPEOFINSURANCE A POUCYNUMSER - MM�DOYEFF I;a onrYY LIMITS GENERAL LIABILITY FEACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED -" PREMISES(Eaoocum�,l; $ 100.000 A CLAIMS-MADE 1ZOCCUR 26CO140112 /23/2011 4/23/2013 MED EXP(Any one pnrsnn) $ 51000 • PCRSONALBADV INJURY S 11000,000 GENERAL AGGREGATE S 2,000,000 GEITL AGGREGATE LIMIT APPLIES PER - PRO, -'•1 PkODUCTS-COMPlpPAGG s 2,000,000 X POLICY I LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT X (Eaeaadent) S 1,000,000 ANY AUTO _ A ALL OWNED AUTOS f BA2000140212 /23/2011 /23/2013 60DILYINJURY(Parperson) S SCHEDULED AUTOS RODII,Y INJkJRY(Per accident) S _ PROPERTY DAMAGE HIRED AVTOS s (For accldOm) NUN-OWNED AUTOS Uninsured rnownsi comomoo a Undennsured molonst S - X UMBREL11t LIAR =CLAIMS-IAL-E: EACH OCCURRENCE 5 7,000,000 1EXCE$S uA9 AGGREGATE - 3 7,000,000 DEDUCTIBLE i S A X RETENTION S SO 000 EL29CO140312 9/23/2012 9/23/2013 S WORKERS COMPENSATION INCSTATU• OTH- ANDEMPLOYERS'UARaITY YIN _ TOJ(Y,LIMITS ER ANY OROPRIETORIPARTNER/EXECUTIVE E L.EACH A(:CIOENI $ OFFICZ-RIMEM13ER EXCLUDED? r N I A (Mandatory in NH) "— II yyee9s descrlr n under E L DISEASE-EA EMPLOYE' S DESCRIPTION OF pPFRATIONS balow E L.DISFI�SE•POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ABath ACORD 101,Additional Rsmarka 6ehedule,H more space Is requlrad) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cyr Lumber Co. , Tnc. ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 837 Windham, NX 03087-0837 AUTHORIZEDREPRESENTATtVE Reeemary Pulham/D4G1 ��' AGORD 26(2009109) ©1988-2009 ACORD CORPORATION. All rights reserved. IN8026(20Da0D) The ACORD name and logo are registered marks of ACORD ,4`OOR oma® CERTIFICATE OF LIABILITY INSURANCE 7/30/2013' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Rhonda Noble THE ROWLEY AGENCY INC. PHONE - (603)224-2562 FAX No)•(603)224-8012 139 Loudon RoadE-MAILADDRESS.moble@rowleyagency.com P.O. BOX 511 INSURERS AFFORDING COVERAGE NAIC# Concord NH 03302-0511 INSURER AA.I.M. INSURED INSURER B: Cyr Lumber CO. , Inc. INSURER C: PO BOX 837 INSURER D: INSURER E: Windham NH 03087-0837 INSURER F: COVERAGES CERTIFICATE NUMBER:13/14 WC cert REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LTR POLICY NUMBER IMWDDIYMI (MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED P occurrence) $ CLAIMS-MADE 7 OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS.COMP/OP AGG $ POLICY PRO- [ IFCT F1 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Peraccident) $ AUTOS AUTOS PROPERTY DAMAGE HIRED AUTOS AUTOS NON-OWNED $ AUTOS Per. er accident UMBRELLA LIAR HOCCjR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ A WORKERS COMPENSATION 3A STATES: NH & MA X WC STATU- OTH- AND EMPLOYERS'LIABILITYI ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN O EXCLUDED OFFICERS E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? � NIA $ 1000000 (Mandatory in NH) ECC4000142012013 1/1/2013 1/1/2014 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTICN OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Addltlonal Remarks Schedule,If more space Is required) Covering operations of the insured during the policy period. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN "For Informational Purposes" ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Rhonda Noble/RLN � — ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025t9ninn51 n1 Tho A(:(1Rr1 nama and Innn aro rani¢forarl marlre of A(:(1Rr1 ty Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite S 170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 154581 Type: DBA Expiration: 3/23/2015 TO 239056 E.R. A. CONSTRUCTION EDWARD ADAMS - - - 16 FOLSOM RD - - ---- DERRY, NH 03038 _ Update Address and return card.Mark reason for change. SCA 1 0 20nn-W11 Address Renewal (J Employment (� Lost Card Office of Consumer Affairs&Business Regulation License or registration valid for individul use only a (DOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: E 154581 Type: Office of Consumer Affairs and Business Regulation Expiration: 3/23/2015 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 E.R.A.CONSTRUCTION EDWARD ADAMS 16 FOLSOM RD. DERRY,NH 03038 / Undersecretary Not valid without signature i \iassachusett.s- Department of Pul)IiC Safetj a Board (if Buildim„ Regulations anal Standards Construction SuPerviso.,r License License: CS 80522 .i EDWARD R ADAMS PO BOX 743 (JERRY, NH 03038" Expiration: 8/8/2013 (' nmii_siner' Tr#: 2049 3 yyy��(j}0—/t6µ4'di7t7»�77��/BCdG[/:._Q�✓4(�1'lu'Q.ClG�f4P.LW•.e.:.a..�_e.+..+,es;-_.. �.r.,..rc^ur'—.w.r__.._+._._oa.,...gym"vn. Office of Consumer Affairs&Business Regulation License or registration valid for iudividul use only before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation T Registration: 154581 TYp® Expiratiop: .°3/23f2013 DBA 10 Park Plaza-Suite 5170 M>�n Boston,MA 02116 E R'A.CONSTRI;iGT1tJN 1.^ EDWARD ADAMS 16 FOLSOM RD. ��„ ,,.� ,(.� !•�� BERRY,NH 03038 Undersecretary Not valid without signature